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Home My WebLink About192503 12/07/2010 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1 ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $307.76 s CARMEL, INDIANA 416032 11020 ALLISONVILLE RD FISHERS IN 45038 CHECK NUMBER: 192503 CHECK DATE: 12!712010 DEPARTMENT ACCOUNT PO NUMBER INV NUMBER AMOUNT DESCRIPTION 2201 4237000 59716 148.94 REPAIR PARTS 2201 4237000 59731 62.22 REPAIR PARTS 2201 4237000 59810 96.60 REPAIR PARTS MID -STATE TRUCK EQUIPMENT Invoice 11020 Allisonville Road Invoice Number: r 3k Retail 001104675 -001 -0 s' I, 59731 Fishers, IN 46038 ;g9Sc'acc rsec6 i a�t :c+c Invoice Date: illd"1101 h Phone: 317.849.4903' Fax 317.849.6441 wWW.Mid- statetruck.com 11/24/201.0 Bill To Ship To CARMEL STREET DEPARTMENT 3400 West 131 Street WESTFIELD, IN 46074 Handlin charge added r�t}f l� to Credit Customer Customer P.O. No. Terms MIC 2%, AMEX Discover- 3% SHOP NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date TM13 P 11/24/2010 12/19/2010 Qty I tem C Descrip Price Ea. 1 Exten 2 ST1303220 KICKSTAND,LEG,STR BLD RT3 25.62 51.24 T 1 MSCO3807 SPRING PIN KIT, KCKSTD RT3 10.98 10.98 i i i Serial Serial Subtotal $62.22 Sales Tax (7.0 $0.00 Received by Total Invoice Amount $62.22 Payment Received $0.00 Checkg Authorization Code Balance Du 562.22 T Than you for your business! MID -STATE TRUCK EQUIPMENT I _4 Invoice 11020 Allisonville Road Invoice Number: Retail 001104675 -001 -0 l 5971.6 Fishers, IN 46038 n F9 a•Sc;tee ruc Fquipmeni Invoice Date: ]is4i;kia,pti(; Phone: 317.849.4903r�`-' Fax 317.849.6441 www.mid- statetruck.com 11/23/2010 Bill TO Ship To CARMEL STREET DEPARTMENT 3400 West 131 Street WESTFIELD, IN 46074 Handling charge added to Credit Customer P.O. No. Term I.dIU (JI'CiEi'J l7 Vrr j5vG:00: ia w M/C 2 AMEX Discover 3% 450 NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date KE 11/23/2010 12/18/201.0 Qty Item Cod Descriptio Price Ea. Ex tensi on 1 MSC01517 SHOCK ABSORBER 54.47', 54.47 1 labor CHANGE RETURN SHOCK ON 7'6 BOSS PLOW 94.47 94.47 S /N: E9758 WORK ORDER# 61992 FORD F -550 06 VIN: 1FDAF57P56ED35491 i i Serial Serial# Subtotal $1.48.94 Sales Tax (7.0 $0.00 Received by Total Invoice Amount $148.94 Payment Received $0.00 Check# Authorization Code Balance Due $148.94 Thank you for your business! MID -STATE TRUCK EQUIPMENT E Invoice 11020 Allisonville Road Invoice Number: Retail#: 001104675 -001 -0 59810 Fishers, IN 46038 Mit1•St:urTrtrck Fgnpmri, Invoice Date: Phone: 317.849.4903 Fax 317.849.6441 ivww.mid- statetruck.com 11/24/2010 Bill To Ship To CARMEL STREET DEPARTMENT 3400 West 131 Street WESTFIELD, IN 46074 Handling charge added to Credit Customer P.O. No, Terms Card ordem -over $500.00: 1_✓isa M/C 2%, AMEX 8 Discover 3% 49 NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date KE 11/24/2010 12/19/2010 Qty item Code Description Price Ea. Extension 2:1302245 BUYERS HITCH PINS WITH COTTER PIN 5.80: 11.60 I labor WESTERN PLOW REPAIR- FOUND GROUND 70.00 70.00 WIRE UNHOOKED AT BATTERY. PARK LIGHT FUSE LOOSE IN BOX, CLOSED CONTACTS (HEADLIGHT DID NOT WORK CAUSE OF THIS PROBLEM). DID NOT HAVE HITCH PINS. I shop -001 miscellaneous shop supplies 15.00 15.00 WORK ORDER# 61995 GMC 2500 HD 2001 VIN: 1GTHK24U41Z305259 (JEFF 733 -2001) Serial Serial Subtotal $96.60 Sales Tax (7.0 $0.00 Received by Total Invoice Amount $96.60 Payment Received $0.00 Chcck# Authorization Code: Balance Due 596.60 Thank you for your business! VOUCHER NO. WARRANT NO. ALLOWED 20 Mid -State Truck Equipment IN SUM OF 11020 Allisonville Road Fishers, IN 46038 $307.76 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO #I Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 59716 42- 370.00 $148.94 1 hereby certify that the attached invoice(s), or 2201 59810 42- 370.00 $96.60_ bill(s) is (are) true and correct and that the 2201 59731 42- 370.00 $62.22 materials or services itemized thereon for which charge is made were ordered and received except �Thursd'ay, December 02, 2010 /i Street Commissioner Title n J Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 11/23/10 59716 $148.94 11/24/10 59810 $96.60 11/24/10 59731 $62.22 1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 20 Clerk- Treasurer